Journal of Genetic Counseling

, Volume 17, Issue 5, pp 459–471

The Psychic Costs of Empathic Engagement: Personal and Demographic Predictors of Genetic Counselor Compassion Fatigue


  • Sharanya Udipi
    • Department of Educational PsychologyUniversity of Minnesota
    • Department of Educational PsychologyUniversity of Minnesota
  • Juihsien Kao
    • Department of Educational PsychologyUniversity of Minnesota
  • Bonnie S. LeRoy
    • Department of Genetics, Cell Biology, and Development, Institute of Human GeneticsUniversity of Minnesota
Original Research

DOI: 10.1007/s10897-008-9162-3

Cite this article as:
Udipi, S., Veach, P.M., Kao, J. et al. J Genet Counsel (2008) 17: 459. doi:10.1007/s10897-008-9162-3


Empathic connection with one’s patients is essential to genetic counselor clinical practice. However, repeatedly engaging with distressed patients may cause compassion fatigue, a phenomenon characterized as feeling overwhelmed by experiencing patients’ suffering. In order to extend findings of an initial qualitative study, we surveyed 222 genetic counselors about their compassion fatigue and factors that predict its occurrence. Multiple regression analysis identified seven significant predictors accounting for 53.7% of the variance in compassion fatigue. Respondents at higher risk of compassion fatigue were more likely to report being burned out, using self-criticism and giving up to manage stress, experiencing a greater variety of distressing clinical events, having larger patient caseloads, relying on religion as a coping strategy, having no children, and seeking support to manage stress. Respondents also provided critical incidents regarding their compassion fatigue and themes in these incidents are described. Practice and research recommendations are provided.


Genetic counselor compassion fatigueEmpathyStressBurnoutCopingSelf-careCountertransference

Copyright information

© National Society of Genetic Counselors, Inc. 2008